Overview
- Germany’s hospitals reported roughly 13.2 million ambulatory emergency‑department treatments in 2025, a 1.3% increase from 2024 that is the largest annual total since 2018.
- The 2025 totals equal about 36,100 emergency‑department visits per day and roughly 158 treatments per 1,000 inhabitants nationwide, signaling higher day‑to‑day pressure on hospital services.
- Fully inpatient cases also rose in 2025 to about 17.7 million, up 1.2% from the prior year, showing that overall hospital activity increased beyond emergency care.
- Use varies sharply by state: Berlin recorded about 221 treatments per 1,000 people and Hamburg 212, while Schleswig‑Holstein and Thuringia were near 117 and 121 per 1,000; in absolute numbers North Rhine‑Westphalia, Bavaria and Baden‑Württemberg had the most cases.
- Destatis counts include ambulatory ED cases billed outside statutory insurance and allow multiple visits by the same person in one year, a detail that matters for planning staff, funding and aftercare because totals measure visits not unique patients.